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Neck pain in the morning can be due to straining the neck while asleep. During certain stages of sleep, the muscles are contracted. One option would be to use a firm flat mattress and a flat pillow—or preferably no pillow in those cases where morning neck pain is prominent. I would strongly recommend you describe this condition to your primary care physician so that he or she can refer you to the appropriate specialist who can properly evaluate you and review your options. Important: We hope you find this general medical and health information useful, but this Q&A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer .
Full Question: I wake up every morning with a soreness in the back of my neck and a hang-over like headache which makes me nauseous. I do not drink. I have had previous neck discectomy and fusion at three levels. I suffer from chronic muscle tightness in neck and shoulders. The headache lasts all day. Any suggestions? Jonathan. Answer: Dear Jonathan; You most probably have cervicogenic headaches based on your former neck problems. I suspect you don't sleep well, and I would recommend you talk to your physician about a medication called tizanidine (Zanaflex), which reduces muscle spasm and helps sleep. It also helps chronic daily headaches. Good luck, John Claude Krusz and Teri Robert If you need to find a headache and Migraine specialist, please see our listing of patient recommended specialists . Another good source of information and support is our forum . To post to the forum, you'll need to register, even if you're already regis...
What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
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